Lashondray Wideman
NPI #1063977486 in Greenwood, South Carolina
Provider Information
- NPI Number
- 1063977486
- Entity Type
- Individual
- Name
- Lashondray Wideman
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Feb 11, 2019
- Last Updated
- Feb 11, 2019
Practice Location
- Address
- 1547 PARKWAY
- City
- Greenwood
- State
- South Carolina
- ZIP Code
- 29646-4081
- Phone
- (864) 229-7120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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